Ruth Bibeau, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Tupelo, MS
NPI 1851983704 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1851983704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 904420 (MS)
- Practice address
- 777 Holly Hill Dr
Tupelo, MS 38801-2340 - Phone
- (662) 432-1221
- Fax
- (888) 836-0702
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- RH Arise Venture of Tupelo LLC
Practice addresses (Care Compare)
777 Holly Hill Dr
Tupelo, MS 38801-2340
Phone (662) 432-1221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210427001555 | MS | Practitioner - Nurse Practitioner | 9931517232 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904420 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Track Medical Group, Inc | Single Specialty | Current |
Accepting new patients |
| RH Arise Venture of Tupelo LLC | Single Specialty | Current |
Accepting new patients |
Locations
207 Alcorn Dr
Corinth, MS 38834
Phone (662) 287-3100
1203 Medical Park Dr
Oxford, MS 38655
Phone (662) 513-4399
200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900
4428 S Eason Blvd
Tupelo, MS 38801
Phone (601) 844-5080
777 Holly Hill Dr
Tupelo, MS 38801
Phone (662) 432-1221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 904420 | MS | Yes |
Addresses
Primary practice location
777 Holly Hill Dr
Tupelo, MS 38801-2340
Mailing address
777 Holly Hill Dr
Tupelo, MS 38801-2340
Phone (662) 432-1221
Other providers in Tupelo, MS
- Barry Dean Bertolet
- Beth a. Shelton D.M.D., PA
- Better Version Intellective Healthcare Inc
- Betteryou Counseling and Consultant, LLC
- Carl Gorman Bevering
- Alexander J. Bibighaus
- Crystal Dawn Biffle
- Haley Biggs
- Carlon Billingsley
- Hannah Billingsley
All providers in Tupelo, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.